Individual provider

Paul Fitzgerald, PSY.D., LCPC

Clinical Psychologist Mental Health Counselor Medicare enrolled

Paul Fitzgerald, PSY.D., LCPC is a Clinical Psychologist in Chicago, IL, registered under NPI 1104949585. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 401 S LA SALLE ST SUITE 1600-P, Chicago, IL 60605. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

401 S LA SALLE ST SUITE 1600-P, Chicago, IL 60605 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
071-008816 IL Clinical Psychologist primary
180-001119 IL Mental Health Counselor

This provider holds licence 071-008816 issued in IL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Clinical Psychologist
PAC ID
3274853981

Medicare enrolment is recorded as approved under the provider type Practitioner - Clinical Psychologist. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Clinical covers

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. NUCC Health Care Provider Taxonomy, code 103TC0700X
Behavioral Health & Social Service Providers Psychologist Clinical

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
103TC0700X Clinical Psychologist Clinical 071-008816 IL primary
101YM0800X Mental Health Counselor Mental Health 180-001119 IL

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1104949585 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateApr 9, 2007
Last updatedMay 19, 2014
StatusActive
Sole proprietorYes
CredentialPSY.D., LCPC
Practice address 401 S LA SALLE ST
SUITE 1600-P
Chicago, IL 60605
(708) 337-6936
Fax (314) 675-6788
Mailing address 8031 42ND ST
Lyons, IL 60534
This record was last updated on May 19, 2014, roughly 12 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1104949585 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 9 4 9 5 8
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 9 4 9 5 7

Sum = 65 · next multiple of 10 = 70 · check digit = 5 · actual last digit = 5

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104949585?
NPI 1104949585 is the National Provider Identifier assigned to Paul Fitzgerald, PSY.D., LCPC in Chicago, IL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Clinical cover?
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology --…
How do I contact Paul Fitzgerald, PSY.D., LCPC?
The phone number on file with NPPES is (708) 337-6936, last updated May 19, 2014. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Paul Fitzgerald, PSY.D., LCPC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1104949585 a valid number?
Yes. 1104949585 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.